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General NPI Number Information
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NPI Number | 1649669680
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Entity Type | Organization
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Legal Business Name | GIVING H.O.P.E. FAMILY SERVICES, LLC
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 128 LABROOK DR
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City | RICHMOND
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State | VA
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Zip | 23225-5904
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Country | US
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Telephone | 804-519-4362
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Fax | 804-330-5989
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Provider Business Mailing Address
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Address Line | 128 LABROOK DR
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City | RICHMOND
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State | VA
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Zip | 23225-5904
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Country | US
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Telephone | 804-519-4362
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Fax | 804-330-5989
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Authorized Official
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Title or Position | OWNER
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Name | MR. PATRICK ANTHONY DAVIS
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Credential |
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Telephone | 804-519-4362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2426
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License Number State | VA
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